What medicine should I take for Trichomonas vaginitis

Trichomonas vaginitis is a relatively common type of vaginitis, which is quite harmful to women's health. If it is not treated in time, it can easily lead to some gynecological problems. Therefore, female patients should receive timely treatment. It can be treated with topical and oral medications. During the treatment process, emphasis should be placed on nourishment. Married women should not have sex during the treatment process.

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1. Topical medication

For the first treatment, scrub the vagina with soapy water, then flush the vagina with 0.5% to 1% lactic acid or acetic acid before using the medicine to improve the efficacy. If these conditions are not met, you can use a light vinegar solution for a sitz bath (add 2 tablespoons of boiled vinegar to half a basin of warm water).

The commonly used drug is metronidazole 200-400 mg, placed deep in the vagina every night for 7 to 10 days as a course of treatment. You can also use 15g each of the Chinese medicine Sophora flavescens, ... Chinese toon bark root, Cnidium monnieri, Atractylodes lancea, and Phellodendron chinense, one dose per day, decocted in water and used for sitz bath.

2. Systemic medication

Metronidazole 200 mg, 3 times a day, 7 days as a course of treatment, or 400 mg twice a day for 5 days. Some people also take 1-2g at a time.

3. Precautions during treatment

To avoid reinfection, underwear and washing utensils should be boiled and disinfected during treatment. Because recurrence is common after treatment, follow-up examination should be performed 3 to 5 days after menstruation. Avoid sexual intercourse during treatment to prevent reinfection. If there is no condition for reexamination and symptoms recur after menstruation, treatment can be repeated. For those who have not been cured for a long time, you should check your own and your spouse's urine or prostatic fluid. If Trichomonas is found, you should also take oral metronidazole for treatment. The patient can be considered cured only if the test result of Trichomonas leucorrhea is negative after three consecutive menstrual periods.

Clinical manifestations

Most cases are asymptomatic. Women may feel uncomfortable for a week or several months, and then improve significantly due to menstruation or pregnancy. The vaginal mucosa is inflamed, bright red, covered with patchy pseudomembranes, often accompanied by foamy secretions, and they feel varying degrees of itching. A few have a burning sensation. Leucorrhea increases and turns yellow-green. Frequent urination, urgency, pain, hematuria, abdominal pain, diarrhea, mucous stools, alveolar pus discharge, and tooth decay may occasionally occur. It often causes urethritis and can lead to cystitis and Bartholin's glanditis.